Rustic Health Llc

LBN: Rustic Health Llc
Rustic Health Llc is an health care organization with primary practice located at 1200 N White Sands Blvd Ste 118 , Alamogordo NM 88310-6774. The organization recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Rustic Health Llc can be contacted via phone (575) 255-1221, or through Donavan, David J via phone (575) 255-1221.

Contact Information

Primary practice address
1200 N White Sands Blvd Ste 118 Alamogordo NM 88310-6774
Phone: (575) 255-1221
Fax: (575) 205-0274
Website:
Map and Directions
Authorized official contact:
Name: Donavan, David J Licensed Practical Nurse (LPN)
Phone: (575) 255-1221

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1215649629
LBN Legal business name Rustic Health Llc
DBA Doing business as
Authorized official Donavan, David J Licensed Practical Nurse (LPN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2022
Last updated Jul 11th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers